Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sara Ann Mapplebeck death at Middleton, Annapolis County on March 5, 1971
Female Death Registration: Year: 1971 number: 2121
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002121
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution S. M. Hospital
3. PRINT NAME OF DECEASED Mapplebeck, Sara Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 3, 1897
10. AGE in Years74 Months2 Days2 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1961 14. Total years Life
15. If married name of spouse Harvey W. Mapplebeck
16. NAME of Father George E. Watson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susan Johnson
19. BIRTHPLACE Ireland
20. Signature of Informant Harvey W. Mapplebeck
address Forest Glade, Anna. Co. N.S.
Relationship to deceased Husband
21. Place of burial Melvern Sq. Anna. Co. N.S.
Date of burial March 8-1971
22. Undertaker Warren T. Roop LTD. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1971
CAUSE OF DEATH
(a) Acute Left Ventricle Failure
(b) Myocardial Infarction??
(c)
other Gross Obesity Pickwickian Syndrome Chronic Urinary Infection
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